TECHNICAL FIELD
[0001] The invention relates to the technical field of medical endoscopy detection, in particular
to an MLA-OCT imaging catheter, an MLA-OCT imaging system and an MLA-OCT imaging method.
BACKGROUND ART
[0002] Coronary artery disease is the number one cause of death worldwide. Due to the accumulation,
rupture and thrombosis of atherosclerotic plaques, coronary artery disease may cause
chest pain (angina), myocardial ischemia and sudden cardiac death. For those patients
without sudden death or with symptoms of chronic angina, suitable plaque treatments
include PCI (Percutaneous Coronary Intervention). Cardiac intervention experts use
PCI operation to place stents to deal with lesions. However, in recent years, many
studies have concluded that cardiac stents have been abused or at least overused,
which has caused a lot of controversy. Doctors are more cautious and critical when
considering only using stents. In addition, since lower-cost drug treatments have
been introduced to the market and they are found to be also effective by studies,
in the treatment of stable coronary heart disease patients, we have seen a mild decline
in stent implantation. However, currently three new vascular imaging/measurement equipment
and consumables: 1) intravascular ultrasound, 2) OCT (Optical Coherence Tomography),
and 3) fractional flow reserve technology, may accurately help doctors assess whether
or not to place a stent for each patient before surgery and assess after surgery,
and they play an increasingly important role in the examination of coronary heart
disease.
[0003] The existing commercial intravascular IV-OCT (Intravascular Optical Coherence Tomographic)
imaging system comprises a host equipment, an imaging catheter, and a retracement
controller connecting the two, wherein the proximal end of the retracement controller
is connected to an interferometer through an optical fiber, and the distal end is
connected to the imaging catheter through a catheter connector. The host equipment
comprises a laser, an interferometer, a photodetector, a data acquisition card, an
imaging host, an image processor and a display terminal, wherein the interferometer
carries the most core components of the imaging system: the left side of the interferometer
is the laser input, the right side is the optical signal output, the upper part is
the reference arm comprising a variable optical delay line (VODL), and the lower part
is the signal arm comprising a retracement controller and an imaging catheter.
[0004] The reference arm of the interferometer of the existing IV-OCT imaging system has
a variable optical delay line, and the signal arm has an imaging catheter and a retracement
controller; wherein the retracement controller has a stepping motor for controlling
the retracement, and a servo motor for controlling high speed rotation, and an optical
fiber slip ring. The core of OCT imaging technology is to use the imaging catheter
located on the signal arm of the interferometer to emit laser and collect the scattered
light returned from the human tissue, which interferes with the optical signal of
the reference arm of the interferometer for coherent detection; the imaging host generates
a lumen image based on detecting the envelop of the interference signal. The optical
path of the reference arm must be very close to the actual optical path of the signal
arm in order to obtain high-quality coherent detection. In actual products, the length
of different imaging catheters will be slightly different, so the OCT system has a
variable optical delay line on the reference arm of the interferometer. According
to the optical path change caused by different catheter lengths on the signal arm,
the reference arm adjusts the optical delay line for matching so as to ensure the
best interference performance. Herein, the main optical paths of the reference arm
and the signal arm are both a single optical fiber, corresponding to a single microlens
at the head end of the inner tube of the imaging catheter. The scanning around the
lumen is completed by the high-speed rotation of a single microlens driven by the
servo motor and the optical fiber slip ring in the retracement controller, and the
torque sleeve outside the inner tube of the imaging catheter.
[0005] The specific imaging process of the IV-OCT imaging system includes: sending the imaging
catheter along the guiding wire to the distal end of the intravascular lesion, which
exceeds the lesion area by more than 5mm, and then activating the imaging catheter
by the retracement controller to retract and retreat, so as to scan the entire lesion
area. The retracement process generally lasts 1-7 seconds, and the retracement distance
is 50-150mm. During this period, the outer tube of the imaging catheter does not move,
the servo motor (i.e., rotating motor) and linear motor (i.e., stepping motor) of
the retracement controller control the inner tube of the imaging catheter to retreat
while rotating at high speed, so as to perform spiral point scanning of the blood
vessel tissue and collect the scattered optical signals returned from each point of
the blood vessel tissue; when the inner tube retreats to the presetting retracement
distance of the product (such as 50mm), the two motors stop and the scanning is completed,
and the host equipment generates a complete image of the vascular tissue lesion according
to the detected scattered optical signals returned from each point.
[0006] The imaging catheter realizing this IV-OCT imaging method comprises an outer tube,
an inner tube, and a catheter connector; wherein the inner tube comprises an optical
fiber and a microlens, and a torque sleeve is provided outside the optical fiber;
the Rapid Exchange (Rx) tip design commonly used for PCI interventional surgical catheters
is adopted for the distal end of the outer tube. The doctor first puts a guiding wire
from the quick exchange tip through the imaging catheter outside the patient's body,
and then pushes the imaging catheter to the target lesion area along the guiding wire
in the patient's blood vessel. When performing OCT imaging, the outer tube of the
imaging catheter does not move, and the guiding wire through the quick exchange tip
does not move, only the inner tube rotates at a high speed and retreat. If the inner
tube does not rotates evenly and smoothly, it may collide and rub against the inner
wall of the outer tube, causing the outer tube to shake, which will drive the guiding
wire at the quick exchange tip of the outer tube to shake; in severe cases, the guiding
wire may become entangled with the imaging catheter and hurt the patient. This is
a potential safety risk of current products.
[0007] Secondly, because this commercial IV-OCT imaging method is based on mechanically
rotating a microlens to scan the luminal tissue laterally, it must ensure that the
microlens at the distal end of the imaging catheter rotates evenly to obtain accurate
images without distortion. The process includes: the high-speed rotation of the servo
motor located in the retracement controller causes the torque sleeve outside the inner
tube of the imaging catheter to drive the high-speed rotation of the distal microlens,
thereby driving the high-speed rotation of the microlens' scanning beam to realize
the laterally scanning of the target tissue around the lumen, at the same time, collecting
the scattered light returned from the corresponding target tissue around the lumen
at high speed. The generation of accurate image is based on precise synchronization
of the rotation speed of microlens, the rotation speed of servo motor, and the frequency
sweep speed of light source; if the rotation of the proximal motor is not synchronized
with the rotation of light spot of the lens, the image will be distorted. Because
the catheter follows the natural lumens of the human body, including but not limited
to blood vessels, when approaching the lesion area in the body, these lumens have
different shapes and bends; the bent imaging catheter is easy to cause the unsynchronized
rotation of the distal and proximal ends of the imaging catheter. Therefore, image
distortion is a major challenge for the accuracy of intraluminal IV-OCT imaging.
CONTENTS OF THE INVENTION
[0008] As mentioned above, if the inner tube of the OCT imaging catheter in the prior art
does not rotates evenly and smoothly, it may collide and rub against the inner wall
of the outer tube, causing the outer tube to shake, which will drive the guiding wire
at the quick exchange tip of the outer tube to shake; in severe cases, the guiding
wire may become entangled with the imaging catheter and hurt the patient. In addition,
the bent imaging catheter is easy to cause the unsynchronized rotation of the distal
and proximal ends of the imaging catheter, thereby resulting in distortion of the
image obtained by the intraluminal IV-OCT imaging.
[0009] In order to solve the above problems, the main object of the present invention is
to provide a novel intraluminal optical coherence tomography imaging method (MLA-OCT,
microlens array optical coherence tomography), which completely eliminates the rotational
movement of inner tube of imaging catheter which is necessary for the current commercial
intraluminal IV-OCT imaging method, so as to reduce the risk of injury to the patient
during the retracement process of the imaging catheter, and avoid image distortion
caused by the unsynchronized rotation of the distal and proximal ends of the imaging
catheter.
[0010] In order to achieve the above object, the technical solutions provided by the present
invention are as follows:
In the first aspect of the present invention, provided is an MLA-OCT imaging catheter,
comprising an inner tube, an outer tube and a multi-core catheter connector, wherein
the inner tube is located inside the outer tube;
the inner tube comprises an optical fiber bundle and a microlens array, the optical
fiber bundle comprises two or more optical fibers, the microlens array comprises two
or more microlenses, and the microlens array is located at the distal end of the optical
fiber bundle;
the proximal end of the outer tube is connected to a retracement controller for driving
the retracement of the MLA-OCT imaging catheter through a multi-core catheter connector.
[0011] In the above MLA-OCT imaging catheter, the distal end of the outer tube is provided
with a quick exchange tip, and the quick exchange tip is provided with a developing
ring and a guiding wire inlet and outlet.
[0012] In the above MLA-OCT imaging catheter, the distal end of the outer tube is provided
with a transparent imaging window.
[0013] In the above MLA-OCT imaging catheter, the multi-core catheter connector is provided
with anti-slip lines.
[0014] According to another aspect of the present invention, provided is an MLA-OCT imaging
system, comprising: a host equipment, a retracement controller, and the aforementioned
MLA-OCT imaging catheter, wherein:
the host equipment comprises an optical device and a data processing device, the optical
device comprises a light source and an interferometer; the signal arm of the interferometer
is provided with a retracement controller and an MLA-OCT imaging catheter, and the
reference arm of the interferometer is provided with an optical delay line; the light
source is divided into a beam of sample light and a beam of reference light by the
interferometer, the sample light enters the signal arm of the interferometer to reach
human tissue, and the multi-point scattered light returned from human tissue and collected
by the MLA-OCT imaging catheter is a set of scanning optical signals, wherein each
single-point scattered light is a first optical signal, and the scanning optical signal
is a collection of the first optical signals of each single point; the reference light
enters the reference arm of the interferometer to reach the optical delay line of
the interferometer, and the light returned by the optical delay line is the second
optical signal; wherein the first optical signal and the second optical signal return
to the interferometer to interfere to generate an interference signal which is then
sent to the data processing device;
the retracement controller comprises a stepping motor, a first high-speed optical
switch, an optical fiber bundle, and an optical fiber array connector; the proximal
end of the retracement controller is connected to the interferometer, and the distal
end is connected to the MLA-OCT imaging catheter through a multi-core catheter connector,
the MLA-OCT imaging catheter is activated by the retracement controller to move axially
to perform axial scanning, so as to generate a three-dimensional image of the tissue.
[0015] In the above MLA-OCT imaging system, the data processing device comprises: a photodetector,
a data acquisition card, an imaging host, an image processor, and a display terminal.
[0016] In the above MLA-OCT imaging system, the host equipment comprises a closed-loop monitoring
device for retracement.
[0017] In the above MLA-OCT imaging system, the reference arm is provided with a second
high-speed optical switch and an optical delay line array comprising two or more optical
delay lines; optionally, the reference arm is provided with one optical delay line.
[0018] According to another aspect of the present invention, provided is a method for calibrating
the MLA-OCT imaging catheter in the above MLA-OCT imaging system, including: after
connecting an MLA-OCT imaging catheter comprising an optical fiber bundle to a retracement
controller, adjusting the position of the corresponding optical delay line on the
reference arm for each optical fiber by a data processing device according to the
signal-to-noise ratio of the received interference signal until the signal-to-noise
ratio is the highest, at this time the value of the delay time for the optical delay
line of each optical fiber is the calibration value of the optical delay line.
[0019] According to still another aspect of the present invention, provided is an MLA-OCT
imaging method using the above MLA-OCT imaging system, which includes the following
steps:
connecting the MLA-OCT imaging catheter to the retracement controller through a multi-core
catheter connector;
dividing the light source into a beam of sample light and a beam of reference light
by an interferometer, wherein the sample light enters the signal arm of the interferometer
to reach human tissue, and the multi-point scattered light returned from human tissue
and collected by the MLA-OCT imaging catheter is a set of scanning optical signals,
and wherein each single-point scattered light is a first optical signal, and the scanning
optical signal is a collection of the first optical signals of each single point;
the reference light enters the reference arm of the interferometer to reach the optical
delay line of the interferometer, and the light returned by the optical delay line
is the second optical signal; wherein the first optical signal and the second optical
signal return to the interferometer to interfere to generate an interference signal
which is then sent to the data processing device;
adjusting the position of the corresponding optical delay line on the reference arm
for each optical fiber by a data processing device according to the signal-to-noise
ratio of each received interference signal until the signal-to-noise ratio is the
highest, at this time the value of the delay time for the optical delay line of each
optical fiber is the calibration value of the optical delay line which is stored in
the MLA-OCT imaging system;
automatically setting the arm length of the reference arm by the MLA-OCT system based
on the pre-stored calibration value of the optical delay line, so as to detect the
interference signal, wherein the data processing device generates a two-dimensional
lumen cross-section image of the human tissue based on all the detected interference
signals; and
actuating the MLA-OCT imaging catheter to move axially by the retracement controller
to perform axial scanning, so as to generate a three-dimensional image of the human
tissue.
The Benefit Effect of the Invention
[0020] The invention adopts microlens array, optical fiber bundle, optical fiber array connector,
optical delay line array and high-speed optical switch to realize multi-point imaging
signal acquisition, so that the MLA-OCT imaging catheter may acquire the scanning
optical signal of the multi-point scattered light from the two-dimensional cross section
of the lumenwithout high-speed rotation, thereby generating a tomographic image of
the lumen. Compared with the prior art, the rotation movement of the inner tube of
the imaging catheter is omitted in the present invention, thereby simplifying the
OCT imaging process of the lumen, greatly improving the safety of the intraluminal
imaging process, and reducing the risk of injury to the patient by the imaging catheter
during the imaging process. In addition, since the MLA-OCT imaging catheter does not
have high-speed rotation movement, it also completely eliminates the phenomenon of
image distortion caused by the unsynchronized rotation of the proximal and distal
ends of the imaging catheter.
BRIEF DESCRIPTION OF THE DRAWINGS
[0021]
Fig. 1(a) is a schematic diagram showing the structure of an MLA-OCT imaging catheter
according to a particular embodiment of the present invention.
Fig. 1(b) is a schematic diagram showing the quick exchange tip of an MLA-OCT imaging
catheter according to a particular embodiment of the present invention.
Fig. 2 is a schematic diagram showing an MLA-OCT imaging system according to a particular
embodiment of the present invention.
Fig. 3(a) is a schematic diagram showing the structure of the reference arm of the
interferometer in an MLA-OCT imaging system according to a particular embodiment of
the present invention.
Fig. 3(b) is a schematic diagram showing the structure of the signal arm of the interferometer
in an MLA-OCT imaging system according to a particular embodiment of the present invention.
Fig. 4 is a schematic diagram showing the steps of an MLA-OCT imaging method according
to a particular embodiment of the present invention.
Symbol Description
[0022]
| 1: |
Host equipment |
12: |
First high-speed optical switch |
| 2: |
Retracement controller |
13: |
Optical delay line array |
| 3: |
MLA-OCT imaging catheter |
14: |
Light source |
| 4: |
Outer tube |
15: |
Interferometer |
| 5: |
Inner tube |
16: |
Photodetector |
| 6: |
Multi-core catheter connector |
17: |
Data acquisition card |
| 7: |
Microlens array |
18: |
Imaging host |
| 8: |
Fast exchange tip |
19: |
Image processor and display terminal |
| 9: |
Guiding wire |
20: |
Closed-loop monitoring device for retracement |
| 10: |
Stepping motor |
21: |
Optical fiber bundle |
| 11: |
Optical fiber array connector |
22: |
Second high-speed optical switch |
SPECIFIC EMBODIMENTS
[0023] In order to make the technical means of the present invention more clear and understandable
to the extent that those skilled in the art may implement them in accordance with
the content of the description, and to make the above-mentioned objectives, features
and advantages of the present invention more obvious and understandable, the particular
embodiments of the present invention will be described in more detail below with reference
to the accompanying drawings.
[0024] It should be noted that, certain words are used in the specification and claims to
refer to specific components. Those skilled in the art should understand that, they
may use different terms to refer to the same component. This specification and claims
use the difference in function of the components as the criterion for distinguishing,
instead of using the difference in the terms as a way to distinguish the components.
For example, "comprise/include" or "comprising/including" mentioned in the entire
specification and claims is an open term, it should be interpreted as "including but
not limited to". The following description of the specification are preferred embodiments
for implementing the present invention, but the description is based on the general
principles of the specification and is not intended to limit the scope of the present
invention. The protection scope of the present invention shall be subject to those
defined by the appended claims.
[0025] Fig. 1 (a) is a schematic diagram showing the structure of an MLA-OCT imaging catheter
3 according to a particular embodiment of the present invention, the MLA-OCT imaging
catheter 3 comprises an inner tube 5, an outer tube 4, and a multi-core catheter connector
6; wherein the inner tube 5 is located inside the outer tube 4 and comprises an optical
fiber bundle 21 and a microlens array 7 at the distal end, the optical fiber bundle
21 comprises two or more optical fibers, and the microlens array 7 comprises two or
more microlenses; the proximal end of the outer tube 4 is connected to a retracement
controller 2 through the multi-core catheter connector 6, and the distal end of the
outer tube 4 enters a lumen in human body.
[0026] In a particular embodiment, the optical fiber bundle 21 is a high-density optical
fiber bundle, and the multi-core catheter connector 6 is a high-density multi-core
catheter connector.
[0027] In a particular embodiment, the microlens array 7 is a high-density microlens array,
and the microlens may be selected from a spherical lens, a cylindrical lens, or a
silicon lens.
[0028] In a particular embodiment, the multi-core catheter connector 6 is provided with
anti-slip lines.
[0029] In a particular embodiment, the distal end of the outer tube 4 is also provided with
a transparent imaging window and a quick exchange tip 8, and the quick exchange tip
8 is provided with a developing ring. The transparent imaging window has a high transmittance
to the light of a specific wavelength band, and mainly has the function of transmitting
light; the developing ring cannot be penetrated by X-rays, and with the help of its
function, the exact position of the catheter in the body may be shown.
[0030] Fig. 1(b) is a schematic diagram showing the structure of the quick exchange tip
8 of an MLA-OCT imaging catheter 3 according to a particular embodiment of the present
invention, wherein the quick exchange tip 8 has a guiding wire inlet, and the guiding
wire 9 is put into the quick exchange tip 8, and the MLA-OCT imaging catheter 3 may
be pushed along the guiding wire 9 to the target lesion area in the patient's lumen.
[0031] Fig. 2 is a schematic diagram showing an MLA-OCT imaging system according to a particular
embodiment of the present invention, the MLA-OCT imaging system comprises: a host
equipment 1, an MLA-OCT imaging catheter 3, and a retracement controller 2; wherein
the host equipment 1 comprises a light source 14, an interferometer 15, a photodetector
16, a data acquisition card 17, an imaging host 18, an image processor and a display
terminal 19, and so on. The retracement controller 2 and the MLA-OCT imaging catheter
3 are located on the signal arm of the interferometer 15, and the reference arm of
the interferometer 15 is provided with an optical delay line array 13. The proximal
end of the retracement controller 2 is connected to the interferometer 15, and the
distal end is connected to the MLA-OCT imaging catheter 3. The left side of the interferometer
15 is connected to the light source 14, the right side is connected to the photodetector
16, and the output end of the photodetector 16 is connected to the data acquisition
card 17, the output end of the data acquisition card 17 is connected to the imaging
host 18, and the output end of the imaging host 18 is connected to the image processor
and the display terminal 19.
[0032] Wherein the light source 14 is divided into a beam of sample light and a beam of
reference light by the interferometer 15; the sample light enters a signal arm to
reach human tissue, while the reference light enters a reference arm to reach an optical
delay line of the interferometer 15, the multi-point backscattered light of the human
tissue collected by the MLA-OCT imaging catheter 3 is a set of scanning optical signals,
wherein each single-point scattered light is a first optical signal, i.e., the scanning
optical signal is a collection of the first optical signals of each single point;
and the light returned by the optical delay line is a second optical signal. The first
optical signal returns to the interferometer 15 via the signal arm, and the second
optical signal returns to the interferometer 15 via the reference arm. When the first
optical signal and the second light interfere in the interferometer 15, the generated
optical interference signal is detected by the photodetector 16. The photodetector
16 receives the optical interference signal and converts it into an electrical signal
to output to the data acquisition card 17. The card 17 converts the automatically
collected electrical signal into a digital signal, and the digital signal is stored
in the imaging host 18, then the imaging host 18 analyzes and processes the digital
signal, thereby obtaining corresponding images in the image processor and the display
terminal 19. The data processing device generates a two-dimensional cross-section
image of the lumen in human tissue according to the interference signals of all single
points, and then the retracement controller 2 activates the MLA-OCT imaging catheter
3 to move axially for axial scanning, thereby generating a three-dimensional image
of human tissue; wherein the interference may only occur when the optical paths of
the reference arm and the sample arm match within the coherence length of the light
source 14.
[0033] In a particular embodiment, the MLA-OCT imaging system further comprises a closed-loop
monitoring device for retracement 20, which is electrically connected to the retracement
controller 2, the photodetector 16, and the imaging host 18, so as to form the closed-loop
control of the retracement of the MLA-OCT imaging catheter 3 and prevent the occurrence
of forced retracement of the imaging catheter.
[0034] In a particular embodiment, the light source 14 may be a high-coherence light source
such as a laser, or a low-coherence light source such as a superluminescent diode.
[0035] In a particular embodiment, the optical delay line array 13 is a high-density optical
delay line array.
[0036] Fig. 3(a) is a schematic diagram showing the structure of the reference arm of the
interferometer 15 in an MLA-OCT imaging system according to a particular embodiment
of the present invention, wherein the reference arm is provided with a second high-speed
optical switch 22 and an optical delay line array 13 comprising two or more optical
delay lines.
[0037] In a particular embodiment, the optical fiber bundle 21 comprises N (N is an integer
greater than 1) optical fibers, the second high-speed optical switch 22 is a 1xN high-speed
optical switch, and the optical delay line array 13 comprises N optical delay lines.
The 1xN high-speed optical switch is a functional switch with the function of switching
optical paths, wherein 1 represents the number of input optical signal channels, N
represents the number of output optical signal channels, and 1xN represents that the
input signal from 1 channel may be switched to N output signal channels.
[0038] In an alternative embodiment, if the adjustment speed of the optical delay line may
exceed the speed of the second high-speed optical switch 22, only one optical delay
line may be provided, and the second high-speed optical switch 22 does not need to
be provided, thereby simplifying the configuration of the reference arm.
[0039] Fig. 3(b) is a schematic diagram showing the structure of the signal arm of the interferometer
15 in an MLA-OCT imaging system according to a particular embodiment of the present
invention. As shown in the figure, the retracement controller 2 located on a signal
arm comprises: a stepping motor 10, a first high-speed optical switch 12, an optical
fiber bundle 21 and an optical fiber array connector 11; wherein the proximal end
of the retracement controller 2 is connected to the interferometer 15, and the optical
fiber array connector 11 at the distal end of the retracement controller 2 is connected
to a multi-core catheter connector 6, so that the retracement controller 2 is connected
to an MLA-OCT imaging catheter 3.
[0040] In a particular embodiment, the optical fiber bundle 21 comprises N (N is an integer
greater than 1) optical fibers, the first high-speed optical switch 12 is a 1xN high-speed
optical switch, and the optical fiber array connector 11 is an N-optical fiber array
connector.
[0041] Fig. 4 is a schematic diagram showing the steps of an MLA-OCT imaging method according
to a particular embodiment of the present invention. As shown in the figure, the MLA-OCT
imaging method includes the following steps:
S1: connecting the MLA-OCT imaging catheter 3 to the retracement controller 2 through
a multi-core catheter connector 6, to be ready for calibration;
S2: dividing the light source 14 into a beam of sample light and a beam of reference
light by an interferometer 15, wherein the sample light enters the signal arm of the
interferometer 15 to reach human tissue, and the multi-point scattered light returned
from human tissue and collected by the MLA-OCT imaging catheter is a set of scanning
optical signals, and wherein each single-point scattered light is a first optical
signal, and the scanning optical signal is a collection of the first optical signals
of each single point; the reference light enters the reference arm of the interferometer
15 to reach the optical delay line of the interferometer 15, and the light returned
by the optical delay line is the second optical signal; wherein the first optical
signal and the second optical signal return to the interferometer 15 for coherent
detection to generate an interference signal which is then sent to the data processing
device;
S3: adjusting the position of the corresponding optical delay line on the reference
arm for each optical fiber by a data processing device according to the signal-to-noise
ratio of each received interference signal until the signal-to-noise ratio of the
interference signal is the highest, at this time the value of the delay time for the
optical delay line of each optical fiber is the calibration value of the optical delay
line which is stored in the MLA-OCT imaging system;
S4: automatically setting the arm length of the reference arm by the MLA-OCT system
based on the pre-stored calibration value of the optical delay line, so as to detect
the interference signal, wherein the imaging host 18 generates a two-dimensional lumen
cross-section image of the human tissue based on all the detected interference signals;
S5: actuating the MLA-OCT imaging catheter 3 to move axially by the retracement controller
2 to perform axial scanning, then a series of two-dimensional lumen cross-section
images of the human tissue are generated by the imaging host 18, thereby obtaining
a three-dimensional image of the human tissue.
[0042] In a particular embodiment, step S1 is: inserting a multi-core catheter connector
6 at the proximal end of the MLA-OCT imaging catheter 3 into the optical fiber array
connector 11 on the retracement controller 2 to be ready for calibration;
[0043] In a particular embodiment, step S3 is: the first high-speed optical switch 12 and
the second high-speed optical switch 22 are both 1xN high-speed optical switches,
and the two are synchronously driven, i.e., the first output signal channel of the
first high-speed optical switch 12 and the first output signal channel of the second
high-speed optical switch 22 are opened synchronously, and the second output signal
channel of the first high-speed optical switch 12 and the second output signal channel
of the second high-speed optical switch 22 are opened synchronously, by analogy, the
Nth output signal channel of the first high-speed optical switch 12 and the Nth output
signal channel of the second high-speed optical switch 22 are opened synchronously.
The position M of each two corresponding output signal channels corresponds to a microlens
M in the microlens array at the tip of the inner tube 5 of the MLA-OCT imaging catheter
3, an optical fiber M in the optical fiber bundle 21 and the optical fiber array connector
11, an optical delay line M of the optical delay line array 13, wherein the imaging
host 18 adjusts the position of the optical delay line M according to the signal-to-noise
ratio of the received interference signal and the imaging quality until the signal-to-noise
ratio is the highest and the imaging quality is the best; at this time the value of
the delay time for the optical delay line M is set as the calibration value CV-M of
the microlens M /optical fiber M /optical delay line M of the MLA-OCT imaging catheter
3. The output signal channels of the first high-speed optical switch 12 are opened
from 1 to N, and the output signal channels of the second high-speed optical switch
22 are also opened synchronously from 1 to N, and the calibration values CV-1, CV-2,...,
CV-N corresponding to all lenses /fibers /optical delay lines are obtained; all optical
delay lines are set at their calibration values, and the calibration values are stored
in the MLA-OCT imaging system.
[0044] In an optional embodiment, if the adjustment speed of the optical delay line may
exceed the speed of the second high-speed optical switch 22, one optical delay line
may be used to correspond to N microlenses /N optical fibers in real time, and the
reference arm does not need to be provided with a second high-speed optical switch
22. At this time, step S3 is: adjusting the position of the optical delay line on
the reference arm by the data processing device according to the signal-to-noise ratio
of the received interference signal until the signal-to-noise ratio is the highest,
at this time the value of the delay time for the optical delay line is the calibration
value of the optical delay line. The same as the above operation, for each optical
fiber, the position adjustment of the optical delay line is respectively performed
once, so as to obtain the calibration value of the corresponding optical delay line,
finally N calibration values of the optical delay lines corresponding to N lenses
/ N optical fibers are stored in the MLA-OCT imaging system.
[0045] In a particular embodiment, step S4 is: sending the MLA-OCT imaging catheter 3 along
the PCI guiding catheter and the guiding wire 9 to a site of 5mm-10mm away from the
distal end of the luminal lesion, and automatically setting the arm length of the
reference arm by the MLA-OCT system based on the pre-stored calibration value of the
optical delay line; subsequently, if the lumen is blood vessel, a contrast agent is
injected to flush out the blood, and the MLA-OCT imaging catheter 3 starts to retreat
while imaging; if it is a nonvascular lumen, the MLA-OCT imaging catheter 3 may directly
retreat while imaging. During imaging, the MLA-OCT imaging catheter 3 does not need
to make any rotational movement, wherein the first high-speed optical switch 12 and
the second high-speed optical switch 22 are both 1xN high-speed optical switches,
and the emission and collection of the first optical signal and the second optical
signal are performed by the synchronously driven first high-speed optical switch 12
and the second high-speed optical switch 22, sequentially connecting the microlens
M at the distal end of the inner tube 5, the optical fiber M in the optical fiber
bundle 21, and the optical delay line M in the optical delay line array 13. The output
signal channel of the first high-speed optical switch 12 and the output signal channel
of the second high-speed optical switch 22 are opened synchronously from 1 to N to
obtain N the first optical signals of the scanned human tissues, i.e., a set of scanning
optical signals, so that the imaging host 18 generates a two-dimensional lumen cross-section
image. Subsequently, in step S5, the retracement controller 2 actuates the MLA-OCT
imaging catheter 3 to move axially for axial scanning, then a series of two-dimensional
lumen cross-section images of the human tissue are generated by the imaging host 18,
thereby obtaining a three-dimensional image of the human tissue.
[0046] Although the embodiments of the present invention are described above with reference
to the accompanying drawings, the present invention is not limited to the above particular
embodiments and application fields. The above particular embodiments are only illustrative,
instructive, and not restrictive. Under the enlightenment of this specification and
without departing from the scope of protection of the claims of the present invention,
those of ordinary skill in the art may also make many modifications, which all belong
to the protection scope of the present invention.
1. An MLA-OCT imaging catheter, comprising an inner tube, an outer tube and a multi-core
catheter connector, wherein
the inner tube is located inside the outer tube;
the inner tube comprises an optical fiber bundle and a microlens array, the optical
fiber bundle comprises two or more optical fibers, the microlens array comprises two
or more microlenses, and the microlens array is located at the distal end of the optical
fiber bundle;
the proximal end of the outer tube is connected to a retracement controller for driving
the retracement of the MLA-OCT imaging catheter through a multi-core catheter connector.
2. The MLA-OCT imaging catheter according to claim 1, wherein the distal end of the outer
tube is provided with a quick exchange tip, and the quick exchange tip is provided
with a developing ring and a guiding wire inlet and outlet.
3. The MLA-OCT imaging catheter according to claim 1, wherein the distal end of the outer
tube is provided with a transparent imaging window.
4. The MLA-OCT imaging catheter according to claim 1, wherein the multi-core catheter
connector is provided with anti-slip lines.
5. An MLA-OCT imaging system, comprising: a host equipment, a retracement controller,
and the MLA-OCT imaging catheter according to any one of claims 1-4, wherein:
the host equipment comprises an optical device and a data processing device, the optical
device comprises a light source and an interferometer; the signal arm of the interferometer
is provided with a retracement controller and an MLA-OCT imaging catheter, and the
reference arm of the interferometer is provided with an optical delay line; the light
source is divided into a beam of sample light and a beam of reference light by the
interferometer, the sample light enters the signal arm of the interferometer to reach
human tissue, and the multi-point scattered light returned from human tissue and collected
by the MLA-OCT imaging catheter is a set of scanning optical signals, wherein each
single-point scattered light is a first optical signal, and the scanning optical signal
is a collection of the first optical signals of each single point; the reference light
enters the reference arm of the interferometer to reach the optical delay line of
the interferometer, and the light returned by the optical delay line is the second
optical signal; wherein the first optical signal and the second optical signal return
to the interferometer to interfere to generate an interference signal which is then
sent to the data processing device;
the retracement controller comprises a stepping motor, a first high-speed optical
switch, an optical fiber bundle, and an optical fiber array connector; the proximal
end of the retracement controller is connected to the interferometer, and the distal
end is connected to the MLA-OCT imaging catheter through a multi-core catheter connector,
the MLA-OCT imaging catheter is activated by the retracement controller to move axially
to perform axial scanning, so as to generate a three-dimensional image of the tissue.
6. The MLA-OCT imaging system according to claim 5, wherein the data processing device
comprises: a photodetector, a data acquisition card, an imaging host, an image processor,
and a display terminal.
7. The MLA-OCT imaging system according to claim 5 or 6, wherein the host equipment comprises
a closed-loop monitoring device for retracement.
8. The MLA-OCT imaging system according to any one of claims 5-7, wherein the reference
arm is provided with a second high-speed optical switch and an optical delay line
array comprising two or more optical delay lines; optionally, the reference arm is
provided with one optical delay line.
9. A method for calibrating the MLA-OCT imaging catheter in the MLA-OCT imaging system
according to any one of claims 5-8, including: after connecting an MLA-OCT imaging
catheter comprising an optical fiber bundle to a retracement controller, adjusting
the position of the corresponding optical delay line on the reference arm for each
optical fiber by a data processing device according to the signal-to-noise ratio of
the received interference signal until the signal-to-noise ratio is the highest, at
this time the value of the delay time for the optical delay line of each optical fiber
is the calibration value of the optical delay line.
10. An MLA-OCT imaging method using the MLA-OCT imaging system according to any one of
claims 5-8, which includes the following steps:
connecting the MLA-OCT imaging catheter to the retracement controller through a multi-core
catheter connector;
dividing the light source into a beam of sample light and a beam of reference light
by an interferometer, wherein the sample light enters the signal arm of the interferometer
to reach human tissue, and the multi-point scattered light returned from human tissue
and collected by the MLA-OCT imaging catheter is a set of scanning optical signals,
and wherein each single-point scattered light is a first optical signal, and the scanning
optical signal is a collection of the first optical signals of each single point;
the reference light enters the reference arm of the interferometer to reach the optical
delay line of the interferometer, and the light returned by the optical delay line
is the second optical signal; wherein the first optical signal and the second optical
signal return to the interferometer to interfere to generate an interference signal
which is then sent to the data processing device;
adjusting the position of the corresponding optical delay line on the reference arm
for each optical fiber by a data processing device according to the signal-to-noise
ratio of each received interference signal until the signal-to-noise ratio is the
highest, at this time the value of the delay time for the optical delay line of each
optical fiber is the calibration value of the optical delay line which is stored in
the MLA-OCT imaging system;
automatically setting the arm length of the reference arm by the MLA-OCT system based
on the pre-stored calibration value of the optical delay line, so as to detect the
interference signal, wherein the data processing device generates a two-dimensional
lumen cross-section image of the human tissue based on all the detected interference
signals; and
actuating the MLA-OCT imaging catheter to move axially by the retracement controller
to perform axial scanning, so as to generate a three-dimensional image of the human
tissue.